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EXXON WELL MONITORING DATA SHEET <br /> Project # �j —� Store # -- d j 3 <br /> ' Sampler Date- <br /> Well Y D / W - Well Diameter- 2 3 4 6 8 <br /> /17 <br /> Total Well Depth Cj r 2-0Depthto Water. <br /> ' Depth to Free Product. Thickness of Free Product (feet) <br /> Referenced to PVC Grade D_0Meter (if req'd)• YSl HACH <br /> ' 73-7 <br /> r Multinher Well Diameter Multmher <br /> 004 4" 065 <br /> 016 6„ 147 <br /> ' 037 Other rad tus2.0 163 <br /> Purge Method Bailer Sampling Method <br /> Disposable Bailer s asable B <br /> ' <br /> Mi Extraction Port <br /> � <br /> Electric Sub Other <br /> ' Extraction Pump <br /> Other <br /> X _ Gals <br /> 1 Case Volume(Gals) Specified Volumes Calculat d Volume <br /> Time Temp (°F) pH Cond Gals Removed Observations <br /> 1 � <br /> 1 <br /> l <br /> ' D><d well dewater`� Yes o Gallons actually evacuated <br /> Sampling Time ; Sampling Date 3 o <br /> Q <br /> ' Sample l D 111f Laboratory SP 0th r 1, <br /> Analyzed for- TPH-G BTEX MTBE TPH-D Other <br /> mgi <br /> DO (if req'd) Pre-purge ms�� Post-purge <br /> O R P (if req'd) Pre-purge mV Post-purge m- <br /> Blaine Tech Services, Inc, 1680 Rogers Ave., San Jose, GA 95112 (408) 573-0555 <br />